HomeMy WebLinkAbout0127790-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 333 W 12TH AVE
CITY OF OSHKOSH
No
127790
HV AC PERMIT . APPLICATION AND RECORD
Owner DANIEL PUTZER
Create Date 11/09/2007
Contractor
A-1 HEATING & A/C INC
Categ 0 ry ~O_Q_~ _l3es iclElnt ia I: IjEl~tii1g&""ElI1~ClJ ing
Plan
Fuel ~g:~s--=l O-(:lil==.___J O::ElecEiS:.__=J D___Soia-r_:~= D.s'6Ti~=-__ :.J
System D_t-Jew J [7] ~ep!ace ______~ ____ _.J D_.gtb~r -----------1
[JFOr"ced Air J aRa~ant ~:~J Q~team -'~==J D!VC-====~ 0_ Vent -=:]
~~ ~~eT~J [I~uppl. _J U~on._~~~!J
Chimney Type ._~hjl11_ney A _.=-r:I]Eimney B'--=~'-=O Dire~fVent.__===:I}J'lQt.AppU~.Clble-~==J
Heat loss D:h~~ppro~~_'===:-'-'. ExiSting _..=:::-=:':~==O:~I~f~e~Tl~~ble::=:=::J Value
BTU Rate I[A5:f'er Plan--------=Irvar~bJe:.::=_:::.=:==032.tb~~:.:.==:.=:=--=::.~] Value --. --.-- -.--.---.-
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Use/Nature SFR / Replace boiler. EIV provided by Bell Electric.
of Work
Fees: Valuation _~~854-0Q
Issued By: ~
Plan Approval ______~gQ
Permit Fee Paid
__n ..!68:.!5,Q
Date 11/13/2007
OP'~~i!Y.o.ided
Parcelld # 0903910000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity_
Signature
Date
AgenUOwner
Address W8078 HillCREST CT
HORTONVlllE
WI 54944 - 0
Telephone Number 920-779-8838
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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City of Oshkosh
Division of Inspection Serv' ces
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-SQSO
Fax (920) 236-5084
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OJHKOJH
ON THE W^TER
HVAC PERMIT APPLICATION
All info~1ionafteT bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fi e(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 1128. Commencing work without pennit(s) win result in fees being doubled or $100.00 plus the
nonnalpennit fee, hich ever is greater.
OR
JOB ADDRESS
OWNER ~'11. re.
CONTRACTOR .
ee Account S stem and have ad
unds check here
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DATE
#c-
A-I Heating d: A/C
HtWtOAWIle, wr 54H4
Q1-o---ZL 'l- ~ ~3g
USE CATEGORY
~ingle Family
OMulti-Family
ORental
o Commercial
OIndustri al
FUEL
adas
DOH
OElectric OSolid
o Solar
SYSTEM
ONew
DOther
[!Jf(eplace
TYPE - - -L..
OForced Air DRadiant DSteam DAle DVent DElectric UlHot Wat~ aSupp1.DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: AU chimneys shall e sized per the BTU's being vented.
& MANUFACTIJRER
CmMNEY TYPE
HEAT LOSS
BTU RATE
o !9thimney A
DAs AppJOved
BrAs Per Plan
OChimney B
IdExisting
OVariable
DDirect Vent ~her f'l c..
DNot Appl1cable
OOther Value
DESCRIPTION OF . L WORK BEING DONE
JiV 5 -rA--L-L
~; Jet
v ALUE (Including la ~ and all materials including ligbt fixtures) $ '- ~ g .sc(. dO
$Uf6 "5D
ELECTRICAL CON RACTOR . iJ?G1t.- .
Q.,B 0 Electrlc: InStallation Verification rorm attaehed(lrReptac~t)
Electrical installarion of new/replacemen' equipll/elU sltt1lJ be dcme by licensed CDlltMCIOrl
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Wd81=S L002 80 ^ON
11/09/2007 FRI 10118 F ~ 920 733 2713 WA~TERS PLUMBING
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Electric Installation Vcrltleation
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(State) (Zip Code)'
hayc h-':I.'n CI)I\t'rnc ecllo perform electric il\lltnllation work fl)r . ,,4--1 Itf!!d r.h.;y, 1J41!{k.-.
. (Name of porty contracted to)
. :tf' .
allhe foHowinK 11 dress: _ 3~, '5 _.}!. I;;:' ") )4-v ~ (~)'S~I<O~ ) \IV' J
(Address where work wi~l be perfQ1'1TIe~)
f....L~t..:. .......11: Lu.:J. "i (.
(Electrical Contractor Name)'
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'Alldtes )
! I $.. ,.._ /I1tYlt;.3h~
(Ci l)'}
11,e oal'ln: oflhc ork consists of: (Check One: or Describe tbe Nature of Work)
,_.~ec nnectio.n or Mew circuit rcn replacement HeJting Plant Ilnd/or Ale Condwer.
Rec nnC(1Uon nf new cirt.-lIh rm feoptllccmcnt Elc~tric Water Heater or power ventea
aler heater. '. i
Rec nneelio" of the Service Entrance Cable, Meter BOJ<, alteralion~ lO recept~\os
. no ~ighting fix1ures due tll ~idi1)g / soffit ins~allation. Note: New Services
'ntrance Cables will require a separ8tepennk
Rcc nncction or new cireuit for lh.e ref'lucement fof other permanently wired
ppJilU1cesl fixtures. . I
:"-lc cire\lil for tlle Ildctllion 0(' Ale 10 an i"di\licl~(I' dwe//i,.g unJt (house or !he
Ildi viduill systems 11\ a duplex or c.\)m!omini~m), IncludinB required service
Iccli-icnl outlels. 'I:
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Tilt' "illlle l)flhi work is $ i
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I h~~\:hY 'ic:ir:y \ \~ work ~i11 he. t>crfDnll~r1.hY 1m emf)loyec ~flhiS company and further verify
Ih~ IC('.omu:Chon f mSlal\alloll wll1 be done In compllanecwith mllnufaeturer and Blec1ricc;odc
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